Many organizations looking to implement payment reform programs or conducting in-depth cost and quality analysis are turning to Evidence-informed case rates (ECRs) which are the most comprehensive episode of care definitions for these multiple purposes. By becoming a PROMETHEUS Analytics© Certified Partner, your organization can cater to the new stream of health systems, insurers and other groups who are aiming to analyze data in and effective and actionable manner.
The certification process involves a calibration test using a claims dataset of complex test cases in which the organization’s output must match the standard version outputs. Certifications are version specific and partners are subject to loss of certification if the vendor solution is more than two versions old.
There are three certifications that your organization can obtain. Each certification includes critical core components that are in demand for analyzing health care data.
Claims Processing Certification – This certification focuses on the basics of bucketing claims into bundles and differentiating claims that are associated with typical services from those that are attributable to potentially avoidable complications.
Claims and Provider Analysis Certification – This certification focuses on the use of the PROMETHEUS Analytics© to sift through historical claims data and create severity-adjusted comparisons of episode costs attributed to providers. Thanks to the unique algorithms that split costs between typical and complications, providers can be compared based on the affordability and quality of the care they provide, adjusted for the severity of their patients. In addition, unique insights can be generated by looking at the effect of managing patients across a continuum of care, including the use of relevant procedures.
PROMETHEUS Payment Implementations Certification – This certification focuses on the ability to fully implement the PROMETHEUS Payment model, including the creation of severity-adjusted prospective budgets for episodes of care, and the reconciliation of those budgets to actual costs incurred.
Once certified, your organization will be listed on the Using PROMETHEUS Analytics© page along with the appropriate certification logo(s). These logos will also be provided to you for display on marketing materials and web sites.
Interested in becoming a certified partner for the PROMETHEUS Analytics©? Please email email@example.com.